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Rolling Oaks MC-CS090317010) Michael Garza - Rolling Oaks Memorial Center: Architectural Barriers Request for Inspection Form Page 1 From: "Ken Baxter" <kbaxter @jstarchitects.com> To: "Michael Garza" <Mgarza @ci.coppell.tx.us> CC: "Barry Boudreaux" <bboudreaux @jstarchitects.com >, "John Gary" <JGary @jst... Date: 3/17/2009 12:10 PM Subject: Rolling Oaks Memorial Center: Architectural Barriers Request for Inspection Form Attachments: Architecturla Barriers Request for Inspection Form.pdf Mike, I've attached a copy of the original "Request for Inspection" sent to you from the registered accessibility specialist at the beginning of the project. This is just a reminder that the project is required by the State of Texas to be inspected for architectural barriers compliance sometime between the completion of construction and the first anniversary. The request form is required to be sent out no later than 30 days after completion of the project. As we discussed on the phone we have found the earlier the inspection the more efficient it is to make any corrections that might be required. If the facility is due to be completed this month it would be advantageous to make arrangements now for an inspection date as soon as possible. If you decide to proceed now the form can be returned with an inspection fee amount of $545.00 to: TexasAbility, LLC. PO Box 729 Gun Barrel City, Tx. 75156 Let us know if we can assist Thanks, Ken Baxter Senior Project Manager J. Stuart Todd, Inc. Arch itectu re/I nteriors /P Ian ning 010) Michael Garza - Rolling Oaks Memorial Center: Architectural Barriers Request for Inspection Form Page 2 2919 Welborn Dallas, Texas 75219 214 - 522 -4033 214 - 522 -7988 fx. TEXAS DEPARTMENT OF LICENSING AND REGULATION COMPLIANCE DIVISION - ARCHITECTURAL BARRIERS P.O. Box 12157 - Austin, Texas 78711 • (512) 463 -3211 • (877) 278 -0919 • FAX (512) 475 -2886 architectural. barriers ,ci r license.state.tx.us * www.license.state.tx.us REQUEST FOR INSPECTION In accordance with the Texas Architectural Barriers Act, Texas Government Code, Chapter 469, and Administrative Rule 68.52, the owner of a building or facility subject to Chapter 469.101 of the Act shall obtain an inspection from the department, a registered accessibility specialist, or a contract provider not later than the first anniversary of the completion of construction. The request for an inspection must be made by completing this form and submitting it to the department, a registered accessibility specialist, or contract provider not later than 30 calendar days after the completion of construction. If the Request for Inspection form is submitted to the Department, the form must be accompanied by the applicable inspection fee. The department, a registered accessibility specialist, or a contract provider must receive the completed Request for Inspection form prior to proceeding with the Inspection. Following the inspection, the owner will be advised in writing of the results. PROJECT INFORMATION PLEASE PRINT OR TYPE 1. Project Name: Rolling Oaks Memorial Center 2. EABPRJ #: A8809546 3. Project Address: 400 S. Freeport. Parkway Suite #: City: Coppell County: Dallas Zip: 75019 OWNER 1 AGENT INFORMATION (Check One) I am R1 the Owner (the person /entity that holds title to the property) or ❑ the Owner's Agent 4. Name: Mike Garza 5. Company/ Agency: City of Coppell 6. Address: 255 Parkway Blvd Suite #: City: Coppell State: Texas Zip: 76019 -9478 7. Phone: 972.462.0022 8. Fax: 9. *' Email: 10. Si nature of Owner /Desi nated Agent I Date I have authorized the following to perform the inspection (Check One) ❑ Texas Department of Licensing and Regulation ❑ Contract Provider Q Registered Accessibility Specialist RAS 9 _0291_ RAS Name Martin Mullins TDLR FORM AB04 t 03 -07 NOTE: An individual who completes and files this form with the Texas Department of Licensing and Regulation (the Dept.) is entitled to the following 1) to be informed about the information that the Dept. collects about the individual, upon their request and subject to a few exceptions; 2) to receive and review the Information, under Sections 552,021 and 552.023 of the Texas Govt. Code; and 3) have the Department correct information about the Individual that is incorrect, under Section 559.004 of the Texas Govt, Code. "The Department will add your address to the Architectural Barriers email notification list, which automatically provides information from the Department on matters affecting Architectural Barriers. Your email address is confidential pursuant to the Texas Public Information Act and the Department will not share it with the public. See additional information at the following link, httr) llwww.license. state _tx_ uslnewslettersfTDLRnotifica tionLlsts_asp